4-4. REQUIRED Responsible Vendor Review Form.docx
DOCX document 33 KB Posted
- Attached to
- Substation Battery Replacement
- Solicitation number
- IFB-015-26-RM
- Issued by
- Leon County, Florida
About this file
This document is a Responsible Vendor Review Form required by the City of Tallahassee for vendors responding to the Substation Battery Replacement solicitation in Florida. The form serves as a responsibility determination tool to ensure vendors possess the capability and integrity to perform contract requirements. Vendors must respond to eight yes/no questions covering actions within the past ten years in Florida or any state or federal jurisdiction, including revocation or suspension of licenses, debarment from government contracting, termination of government contracts for cause, criminal convictions related to contracting, civil fraud judgments, and governmental investigations. Additionally, vendors must confirm they possess the necessary organization, experience, accounting controls, and technical skills to meet contract obligations. The project involves replacing several 125VDC nicad substation battery strings with approximately two battery banks replaced annually over a three to five year period, with factory commissioning prior to shipment to the Utility Supply Center at 2641 Municipal Way, Tallahassee, Florida. The scope includes replacement of battery hardware and connection cables, replacement of non-seismic battery racks, and recycling of existing 94-cell battery banks, with the initial bid based on two battery banks.
Vendors must provide detailed explanations and supporting documentation for any affirmative responses to questions 1.1 through 1.8, recognizing that such responses do not automatically disqualify participation but failure to provide requested information may result in disqualification. The City of Tallahassee will evaluate vendor responsibility using information submitted in the form, financial data and other solicitation materials provided by the vendor, and independent research including review of the System for Award Management database. Vendors must immediately notify the Procurement Officer of any erroneous or changed information prior to contract execution. Delivery requirements specify Monday through Friday between 9:00 a.m. and 3:30 p.m. at the designated facility. Vendors are also asked to disclose active State Term Contracts or GSA Contracts with similar scope of services.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-1. IFB-015-25-RM - SEC 1,2,3 SUBSTATION BATTERY REPLACEMENTS.docx | DOCX document | |
| 6-6. REQUIRED Certification of a Drug Free Workplace (1).pdf | ||
| 9-9. REQUIRED Local Vendor Affidavit.docx | DOCX document | |
| 5-5.REQUIRED HUMAN TRAFFICKING AFFIDAVIT.pdf | ||
| 3-3. Standard Contract Template 2025.docx | DOCX document | |
| 10-10. REQUIRED Representations Certifications.docx | DOCX document | |
| 8-8. REQUIRED Vendor Conflict of Interest.docx | DOCX document | |
| 2-2. REQUIRED ATTACHMENT A - PRICE SCHEDULE.xlsx | XLSX spreadsheet | |
| 7-7. REQUIRED Non Collusion Affidavit of Respondent.docx | DOCX document |
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Text version
A contract can only be awarded to a “responsible vendor”. A responsible vendor has the capability in all respects to fully perform the contract requirements and the integrity and reliability that will assure good faith performance.
To assist in making this determination, Vendors responding to this Solicitation are required to fully and accurately answer each of the questions below. For each “Yes” answer to questions 1.1 through 1.8, Vendor must provide a detailed explanation and attach copies of any relevant document cited in the explanation. Answering “Yes” to questions 1.1 through 1.8 will not necessarily disqualify a Vendor from participating in this Solicitation. However, failure to provide additional information as requested by the City of Tallahassee may disqualify a Vendor.
The City of Tallahassee (COT) will base its determination of a Vendor’s responsibility on: (a) information provided by Vendor in response to this form; (b) information provided elsewhere in a Vendor’s response to the Solicitation (including financial information) and (c) information obtained from independent research (including information COT obtains from the internet or third parties, including System for Award Management (SAM)).
Vendors shall provide immediate written notice to COT if any time prior to contract execution, a Vendor learns that the information provided in connection with this form was erroneous when submitted or has become erroneous for reason of changed circumstances. Vendor must contact the Procurement Officer with any questions regarding this form.
1.0 Within the last ten (10) years, in the State of Florida or any State or Federal jurisdiction has the Vendor or any of its officers, directors or owner:
| 1.1 |
| Been, subject to a revocation, suspension, disbarment, administrative complaint, sanction, fine, adverse action, or disciplinary action relating to any business or professional permit, certification, and/or license? |
| · Yes |
· No
| 1.2 |
| Been suspended, debarred, or disqualified from any government contracting process or agreed to voluntary exclusion from any government procurement process? |
| · Yes |
· No
| 1.3 |
| Been subject to formal monitoring agreement or corrective action plan as part of a contract with a government entity? |
| · Yes |
· No
| 1.4 |
| Been subject to an indictment, administrative proceeding, civil action or judgment in connection with any government contract? |
| · Yes |
· No
| 1.5 |
| Had a government contract terminated for cause? |
| · Yes |
· No
Responsible
Vendor
Review
Form
| 1.6 |
| Been convicted of a crime related to governmental or nongovernmental contracting? |
| · Yes |
· No
| 1.7 |
| Been subject to governmental investigation relating to alleged violation of any statutory regulatory violation? |
| · Yes |
· No
| 1.8 |
| Had a judgement entered in a civil lawsuit based on an allegation of fraud? |
| · Yes |
· No
| 2.0 |
| Does the vendor have the necessary organization, experience, accounting and operational controls, and professional and technical skills to meet its obligations under the proposed contract with COT, taking into consideration all existing commercial and governmental business commitments? |
| · Yes |
· No
| 3.0 |
| General Information |
Do you have an active State Term Contract (STC) or General Administrative Services (GSA) Contract similar to the scope of services for this solicitation. If yes, provide an attachment with links to the contract(s)
· STC
· GSA
· Not Applicable
By my signature below, I certify that I am an authorized representative of the Vendor named below and that all of the information provided above is true and complete to the best of my knowledge.
Name and Title Vendor Name
Signature Date
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